Individual
DR. JAMES RALPH BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
618 S IL ROUTE 31, SUITE 2, MCHENRY, IL 60050-8273
(815) 344-1400
(815) 344-2173
Mailing address
618 S ROUTE 31, SUITE 2, MCHENRY, IL 60050
(815) 344-1400
(815) 344-2173
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4900945
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/16/2007
Last updated
07/08/2007
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